医疗和社会护理专业人员对使用混合饮食为儿童和青少年进行肠管喂养的态度。

IF 1.3 4区 医学 Q3 NURSING Journal of Child Health Care Pub Date : 2024-11-19 DOI:10.1177/13674935241299277
Gemma Phillips, Fiona McCullough, Pippa Hemingway
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引用次数: 0

摘要

在需要长期肠内管喂养(ETF)的儿童和青少年(CYP)的家长和照护者中,使用混合饮食来替代商业配方奶粉正变得越来越流行。新的证据表明,混合饮食对生理和社会都有益处;然而,有家庭表示,在家庭以外的环境中使用混合饮食时感到缺乏支持。本研究旨在探讨医疗和社会护理人员对儿童青少年使用混合饮食的态度。研究人员邀请有混合饮食经验的医疗和社会护理专业人员参与在线半结构化定性访谈。访谈采用主题分析法确定主题。来自医疗、教育和社会护理机构的五位参与者接受了访谈。在线访谈对数据收集非常有效,既能灵活地适应参与者的护理角色,又能避免因 2019 年冠状病毒疾病限制而必须进行的面对面接触。数据中确定了三个主题:-改变医疗化的肠管喂养做法;-以个人为中心的方法;-开放的支持网络和责任。研究结果表明,混合饮食是可以接受的;但是,实施过程中仍然存在障碍。ETF 的医疗化继续影响着人们对混合饮食的接受程度,而多学科团队的有效沟通和支持则有利于在家庭以外的环境中使用混合饮食。
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Attitudes of health and social care professionals towards the use of blended diets for enteral tube feeding for children and young people.

Using a blended diet as an alternative to commercial formula is becoming more popular amongst parents and carers of children and young people (CYP) requiring long-term enteral tube feeding (ETF). Emerging evidence has demonstrated physiological and social benefits; however, families report feeling unsupported to use a blended diet in settings outside the home. This study aimed to explore the attitudes of health and social care staff towards the use of blended diets for CYP. Health and social care professionals with experience of blended diets were invited to partake in an online semi-structured qualitative interview. Thematic analysis was used to identify themes. Five participants from health, education and social care settings were interviewed. Online interviews worked effectively for data collection to allow flexibility to accommodate participants' care roles and avoid face-to-face contact necessary with Coronavirus disease 2019 restrictions. Three themes were identified in the data:• Change from medicalised enteral tube feeding practice.• Individual, person-centred approach.• Open support networks and responsibility.Findings showed that blended diets can be accommodated; however, barriers to implementation remain. Medicalisation of ETF continues to impair acceptance of blended diets whilst effective multi-disciplinary team communication and support facilitates its use in settings outside the home.

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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
期刊最新文献
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